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What is a 'normal' daily blood glucose pattern?
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<blockquote data-quote="urbanracer" data-source="post: 2269748" data-attributes="member: 140811"><p>It appears from your screenshot as though you're going from 4mmol to 15mmol on a fairly regular basis. At what time do you inject your basal, before bed?</p><p></p><p>It would be beneficial to longer term health if you could do something to reduce the peaks and troughs.</p><p></p><p>I was on a Lantus biosimilar product (Abasaglar) for a while and didn't get on with it at all. I'm no expert but I understand that Glargine based insulin can pool under the skin and then release suddenly sending the user into a hypo. Not great when you're active.</p><p></p><p>I believe that this is one of the main reasons why NICE changed the recommended basal from Glargine to Detemir (branded Levemir) in 2015. Use the following link to read more about it. </p><p></p><p><a href="https://www.nice.org.uk/guidance/ng17/chapter/1-Recommendations#insulin-therapy-2" target="_blank">https://www.nice.org.uk/guidance/ng17/chapter/1-Recommendations#insulin-therapy-2</a></p><p></p><p>I am using this now and have a lot less hypo's these days. Having a flatter baseline makes bolusing for meals easier too. It's definitely worth a phone call to your doc' or endo' to see if you can get changed over or even have a trial.</p></blockquote><p></p>
[QUOTE="urbanracer, post: 2269748, member: 140811"] It appears from your screenshot as though you're going from 4mmol to 15mmol on a fairly regular basis. At what time do you inject your basal, before bed? It would be beneficial to longer term health if you could do something to reduce the peaks and troughs. I was on a Lantus biosimilar product (Abasaglar) for a while and didn't get on with it at all. I'm no expert but I understand that Glargine based insulin can pool under the skin and then release suddenly sending the user into a hypo. Not great when you're active. I believe that this is one of the main reasons why NICE changed the recommended basal from Glargine to Detemir (branded Levemir) in 2015. Use the following link to read more about it. [URL]https://www.nice.org.uk/guidance/ng17/chapter/1-Recommendations#insulin-therapy-2[/URL] I am using this now and have a lot less hypo's these days. Having a flatter baseline makes bolusing for meals easier too. It's definitely worth a phone call to your doc' or endo' to see if you can get changed over or even have a trial. [/QUOTE]
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